Individual provider Active NPI

Tammie Lue Dusoe, ASUDC

  • Addiction (Substance Use Disorder) Counselor
  • Sandy, UT
National Provider Identifier
1306278999
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
346406-6008 Issued in UT
Practice address
8465 S 700 E
Sandy, UT 84070-0501
Phone
(801) 233-8577
Fax
(801) 233-8748
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 346406-6008 UT Primary

Addresses

Primary practice location

8465 S 700 E
Sandy, UT 84070-0501

Mailing address

8465 S 700 E
Sandy, UT 84070-0501
Phone (801) 233-8577

Other names 1

  • Tammie Lue Bendixen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
346406-6008UTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Psychotherapy and Clinical Consulting Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1306278999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700501",
            "telephone_number": "801-233-8577",
            "fax_number": "801-233-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700501",
            "telephone_number": "801-233-8577",
            "fax_number": "801-233-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSOE",
        "first_name": "TAMMIE",
        "middle_name": "LUE",
        "credential": "ASUDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "346406-6008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMIE",
            "last_name": "BENDIXEN",
            "middle_name": "LUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.